Prospective comparative study of two methods for fixation after distal femur corrective osteotomy for valgus deformity; retrograde intramedullary nailing versus less invasive stabilization system plating

Abstract

Retrograde IMN does not provide a radiological advantage over the LISS plating technique for valgus deformity but retrograde IMN and correction offered better functional results in cases of femoral valgus deformity than did the LISS plating method.

Outcome of Dome Osteotomy With Plate Osteosynthesis for Genu Valgum in Late Adolescents and Young Adults

“…This may be due to better plate contouring against the distal femoral lateral condyle and application of the plate in dual mode along with dome osteotomy causing maximum metaphyseal bony contact leading to optimal healing. Özcan et al studied intramedullary nail versus plating for distal femoral osteotomy fixation and found that a retrograde intramedullary nail had better functional results as compared to a plate [21]. This was because of the irritating effect of the wide profile plate that led to a decrease in the knee range of motion of the patients treated with plating.…”

Distal femoral varus osteotomy: results of the lateral open-wedge technique without bone grafting

“…Jacobi et al reported local irritation of the iliotibial tract requiring implant removal in 86% of the patients with the Tomofix plate [4], while Dewilde et al reported a rate of 22% using the Puddu plate, which was explained with the lower profile of the Puddu plate [16]. Comparing less invasive stabilization system plating to retrograde intramedullary nailing, Özcan et al suggest that tissue irritation due to metal plates might compromise the clinical outcome measured by KOOS [20]. In our study, mild local pain (NRS 1 to 2) was observed in 20% of the patients while the plate was in situ.…”

A Preliminary Comparison Suggests Poor Performance of Carbon Fiber Reinforced Versus Titanium Plates in Distal Femoral Osteotomy

“…Lateral opening-wedge distal femoral osteotomy for the correction of genu valgum, with stabilization using a lateral stainless steel or titanium plate, has been a predictably successful surgery with high union rates and accurate correction of limb alignment [1,3,4,12,[14][15][16]22]. The metallic plates used in these series are strong [7] and malleable, offer multiple locking options, and are familiar to surgeons.…”